On February 6, 2023, the Division of Insurance issued a Consumer Advisory reminding insurers regulated by the state of their obligation to cover contraceptive services to insureds at no cost. This obligation prohibits insurers from charging copayments, deductibles or coinsurance amounts to the individual seeking those services.
The ACA requires insurers to provide this coverage for a range of recommended preventative services (including tubal ligation surgery) and prohibits imposing any cost-sharing on insureds receiving those services. In addition, state law obligates insurers regulated by the state to allow for 12-month oral birth control prescriptions.
The division issued this advisory in response to complaints that consumers were asked to pay a portion of the costs associated with preventative services covered by the ACA. Employers with plans regulated by the state should be aware of this obligation.
Consumer Advisory: Insurance Companies Must Provide Reproductive Health Services Access in Compliance with the Affordable Care Act »
PPI Benefit Solutions does not provide legal or tax advice. Compliance, regulatory and related content is for general informational purposes and is not guaranteed to be accurate or complete. You should consult an attorney or tax professional regarding the application or potential implications of laws, regulations or policies to your specific circumstances.
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